{"id":"https://openalex.org/W7118145292","doi":"https://doi.org/10.1007/s12672-025-04380-4","title":"Persistence of severe global inequalities in the burden of pancreatic cancer: a cross-sectional study","display_name":"Persistence of severe global inequalities in the burden of pancreatic cancer: a cross-sectional study","publication_year":2026,"publication_date":"2026-01-04","ids":{"openalex":"https://openalex.org/W7118145292","doi":"https://doi.org/10.1007/s12672-025-04380-4","pmid":"https://pubmed.ncbi.nlm.nih.gov/41486396"},"language":"en","primary_location":{"id":"doi:10.1007/s12672-025-04380-4","doi":"https://doi.org/10.1007/s12672-025-04380-4","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s12672-025-04380-4","pdf_url":null,"source":{"id":"https://openalex.org/S4210213696","display_name":"Discover Oncology","issn_l":"2730-6011","issn":["2730-6011"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Discover Oncology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1007/s12672-025-04380-4","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Xin Qing","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I207528943","display_name":"Chengdu Medical College","ror":"https://ror.org/01c4jmp52","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I207528943"]},{"id":"https://openalex.org/I4405263643","display_name":"Chengdu Seventh People's Hospital","ror":"https://ror.org/0475btk05","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4405263643"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Xin Qing","raw_affiliation_strings":["Department of Hepatobiliary Vascular Surgery, Chengdu Seventh People's Hospital (Affiliated Cancer Hospital of Chengdu Medical College), Chengdu, China. qingxin1997@126.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Hepatobiliary Vascular Surgery, Chengdu Seventh People's Hospital (Affiliated Cancer Hospital of Chengdu Medical College), Chengdu, China. qingxin1997@126.com","institution_ids":["https://openalex.org/I207528943","https://openalex.org/I4405263643"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101972709","display_name":"Yini Liu","orcid":"https://orcid.org/0000-0003-1924-7858","observed_orcids":["https://orcid.org/0000-0003-1924-7858"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yini Liu","raw_affiliation_strings":["Department of Anesthesiology, The People's Hospital of Zhongjiang, Deyang, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, The People's Hospital of Zhongjiang, Deyang, China","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5104224780","display_name":"Chengwei Xia","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I207528943","display_name":"Chengdu Medical College","ror":"https://ror.org/01c4jmp52","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I207528943"]},{"id":"https://openalex.org/I4405263643","display_name":"Chengdu Seventh People's Hospital","ror":"https://ror.org/0475btk05","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4405263643"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Chengwei Xia","raw_affiliation_strings":["Department of Thyroid and Breast Surgery, Chengdu Seventh People's Hospital (Affiliated Cancer Hospital of Chengdu Medical College), Chengdu, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Thyroid and Breast Surgery, Chengdu Seventh People's Hospital (Affiliated Cancer Hospital of Chengdu Medical College), Chengdu, China","institution_ids":["https://openalex.org/I207528943","https://openalex.org/I4405263643"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I207528943","https://openalex.org/I4405263643"],"apc_list":{"value":1690,"currency":"USD","value_usd":1690},"apc_paid":{"value":1690,"currency":"USD","value_usd":1690},"fwci":2.7783,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.84165092,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":96},"biblio":{"volume":"17","issue":"1","first_page":"216","last_page":"216"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.9711999893188477,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.9711999893188477,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10231","display_name":"Pancreatic and Hepatic Oncology Research","score":0.02800000086426735,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pancreatic-cancer","display_name":"pancreatic cancer","score":0.9950000047683716},{"id":"https://openalex.org/keywords/global-burden-of-disease","display_name":"global burden of disease","score":0.7549999952316284},{"id":"https://openalex.org/keywords/socioeconomic-inequalities-in-health","display_name":"socioeconomic inequalities in health","score":0.8799999952316284},{"id":"https://openalex.org/keywords/sociodemographic-index","display_name":"socio-demographic index","score":0.8069999814033508},{"id":"https://openalex.org/keywords/disability-adjusted-life-years","display_name":"disability-adjusted life years","score":0.9089999794960022},{"id":"https://openalex.org/keywords/quality-of-care-index","display_name":"quality of care index","score":0.722000002861023}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6812999844551086},{"id":"https://openalex.org/C45555294","wikidata":"https://www.wikidata.org/wiki/Q28113351","display_name":"Inequality","level":2,"score":0.6083999872207642},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.535099983215332},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.5187000036239624},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.5103999972343445},{"id":"https://openalex.org/C3020448403","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Burden of disease","level":3,"score":0.5101000070571899},{"id":"https://openalex.org/C2780210213","wikidata":"https://www.wikidata.org/wiki/Q212961","display_name":"Pancreatic cancer","level":3,"score":0.4927000105381012},{"id":"https://openalex.org/C2780664029","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Disease burden","level":3,"score":0.47119998931884766},{"id":"https://openalex.org/C2777382242","wikidata":"https://www.wikidata.org/wiki/Q6017816","display_name":"Index (typography)","level":2,"score":0.44209998846054077},{"id":"https://openalex.org/C46578552","wikidata":"https://www.wikidata.org/wiki/Q2725393","display_name":"Global health","level":3,"score":0.4408999979496002},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.4178999960422516},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.3928999900817871},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3758000135421753},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.36959999799728394},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3637000024318695},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.3476000130176544},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.34549999237060547},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.3375999927520752},{"id":"https://openalex.org/C189326681","wikidata":"https://www.wikidata.org/wiki/Q10294","display_name":"Poverty","level":2,"score":0.33730000257492065},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.29649999737739563},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.2964000105857849},{"id":"https://openalex.org/C110121322","wikidata":"https://www.wikidata.org/wiki/Q865811","display_name":"Distribution (mathematics)","level":2,"score":0.2955000102519989},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.27320000529289246},{"id":"https://openalex.org/C64332521","wikidata":"https://www.wikidata.org/wiki/Q614165","display_name":"Quality-adjusted life year","level":3,"score":0.26899999380111694},{"id":"https://openalex.org/C127142870","wikidata":"https://www.wikidata.org/wiki/Q7838279","display_name":"Trend analysis","level":2,"score":0.25609999895095825},{"id":"https://openalex.org/C2778149918","wikidata":"https://www.wikidata.org/wiki/Q3291156","display_name":"Population health","level":3,"score":0.25589999556541443}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1007/s12672-025-04380-4","doi":"https://doi.org/10.1007/s12672-025-04380-4","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s12672-025-04380-4","pdf_url":null,"source":{"id":"https://openalex.org/S4210213696","display_name":"Discover Oncology","issn_l":"2730-6011","issn":["2730-6011"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Discover Oncology","raw_type":"journal-article"},{"id":"pmid:41486396","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41486396","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Discover oncology","raw_type":"Journal Article"},{"id":"pmh:oai:europepmc.org:11676402","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12868438","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:77733401ac7349d0997641a1ffb5c954","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/77733401ac7349d0997641a1ffb5c954","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Discover Oncology, Vol 17, Iss 1, Pp 1-16 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1007/s12672-025-04380-4","doi":"https://doi.org/10.1007/s12672-025-04380-4","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s12672-025-04380-4","pdf_url":null,"source":{"id":"https://openalex.org/S4210213696","display_name":"Discover Oncology","issn_l":"2730-6011","issn":["2730-6011"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Discover Oncology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.9629999995231628}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":66,"referenced_works":["https://openalex.org/W2036634292","https://openalex.org/W2077618811","https://openalex.org/W2113954266","https://openalex.org/W2116515517","https://openalex.org/W2165150824","https://openalex.org/W2441911873","https://openalex.org/W2467895892","https://openalex.org/W2549264239","https://openalex.org/W2603594440","https://openalex.org/W2615250694","https://openalex.org/W2621492186","https://openalex.org/W2767771071","https://openalex.org/W2788992701","https://openalex.org/W2804207405","https://openalex.org/W2897031692","https://openalex.org/W2897722701","https://openalex.org/W2899773405","https://openalex.org/W2942040450","https://openalex.org/W2974068146","https://openalex.org/W2980624194","https://openalex.org/W3010042238","https://openalex.org/W3014713533","https://openalex.org/W3028195043","https://openalex.org/W3040190199","https://openalex.org/W3042568371","https://openalex.org/W3092336664","https://openalex.org/W3092849554","https://openalex.org/W3092861045","https://openalex.org/W3093298383","https://openalex.org/W3112803165","https://openalex.org/W3128646645","https://openalex.org/W3131357458","https://openalex.org/W3134664041","https://openalex.org/W3136258781","https://openalex.org/W3158799609","https://openalex.org/W3162949857","https://openalex.org/W3165630109","https://openalex.org/W3201265393","https://openalex.org/W3201302168","https://openalex.org/W3203334055","https://openalex.org/W3209804477","https://openalex.org/W3212282753","https://openalex.org/W3213874625","https://openalex.org/W3217696142","https://openalex.org/W4200345853","https://openalex.org/W4205257787","https://openalex.org/W4214892600","https://openalex.org/W4223574468","https://openalex.org/W4224883698","https://openalex.org/W4224982024","https://openalex.org/W4229077123","https://openalex.org/W4233651632","https://openalex.org/W4308768817","https://openalex.org/W4315647566","https://openalex.org/W4321351416","https://openalex.org/W4377564075","https://openalex.org/W4378220081","https://openalex.org/W4384923026","https://openalex.org/W4385716514","https://openalex.org/W4385855666","https://openalex.org/W4386485485","https://openalex.org/W4387034002","https://openalex.org/W4387356893","https://openalex.org/W4387700947","https://openalex.org/W4388922628","https://openalex.org/W4390946922"],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"To":[1],"assess":[2],"the":[3,10,22,56,210,215,221,237],"global":[4,87,155,166],"burden":[5,28,128,238],"and":[6,43,50,97,112,121,149,162,180,239,255,260],"socioeconomic":[7],"inequalities":[8,256],"in":[9,132,174,178,185,191,200,236],"distribution":[11],"of":[12,25,53,58,80,90,108,129,140,207,223,225,241],"pancreatic":[13,26,130,242],"cancer":[14,27,131,243],"from":[15,35,73,101,145,172],"1990":[16,74,102,146,161,175],"to":[17,75,103,147,176],"2019.":[18,163],"METHODS:":[19],"We":[20],"investigated":[21],"temporal":[23],"trend":[24],"using":[29,55,77],"Average":[30],"Annual":[31],"Percent":[32],"Change":[33],"(AAPC)":[34],"joinpoint":[36],"regression":[37],"analysis,":[38],"decomposed":[39],"trends":[40],"by":[41,65],"demographic":[42],"epidemiological":[44],"factors,":[45],"quantified":[46],"cross-national":[47,137],"health":[48],"inequalities,":[49],"evaluated":[51],"quality":[52,222],"care":[54,224,240],"Quality":[57],"Care":[59],"Index":[60,124],"(QCI).":[61],"Analyses":[62],"were":[63,233],"conducted":[64],"age,":[66],"sex,":[67],"sociodemographic":[68],"index":[69],"across":[70,244],"204":[71],"countries/territories":[72],"2019":[76,83],"Global":[78],"Burden":[79],"Disease":[81],"Study":[82],"data.":[84],"RESULTS:":[85],"The":[86,135,164,194],"age-standardized":[88],"rates":[89],"incidence,":[91],"prevalence,":[92],"disability-adjusted":[93],"life":[94],"years":[95],"(DALYs),":[96],"mortality":[98],"significantly":[99],"increased":[100,170],"2019,":[104,148,179],"with":[105,116,204,218],"an":[106],"AAPC":[107],"0.78,":[109],"0.95,":[110],"0.63,":[111],"0.73,":[113],"respectively.":[114],"Countries":[115],"High,":[117],"High-middle,":[118],"Middle,":[119],"Low-middle,":[120],"Low":[122,211],"Socio-demographic":[123],"(SDI)had":[125],"a":[126,205],"decreasing":[127],"that":[133],"order.":[134],"absolute":[136],"inequality":[138,141,151],"(Slope":[139],"index)":[142,153],"has":[143],"risen":[144],"relative":[150],"(concentration":[152],"for":[154,257],"PC":[156,227],"remained":[157],"essentially":[158],"constant":[159],"between":[160],"overall":[165],"QCI":[167,196,217],"score":[168,188,197,206],"had":[169],"slightly":[171],"38.68":[173],"47.04":[177],"it":[181],"was":[182,198],"marginally":[183],"better":[184],"females":[186],"(QCI":[187],"52.96)":[189],"than":[190],"males":[192],"(46.44).":[193],"highest":[195],"observed":[199],"High":[201],"SDI":[202,212,246],"quintile":[203,213],"69.74,":[208],"while":[209],"displayed":[214],"lowest":[216],"22.61.":[219],"Additionally,":[220],"young-onset":[226],"patients":[228],"is":[229],"alarming.":[230],"CONCLUSION:":[231],"There":[232],"wide":[234],"disparities":[235,254],"different":[245],"countries.":[247],"Health":[248],"policymakers":[249],"should":[250],"focus":[251],"on":[252],"these":[253],"appropriate":[258],"policies":[259],"interventions.":[261]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2026-01-04T00:00:00"}
